1992 Volume 28 Issue 5 Pages 978-982
Predeposited autologous blood transfusion (PABT) can protect patients from unnecessary exposure to allogenic blood. We report our experience of 10 pediatric surgical patients who received PABT. Ten patients ranged in age from 6 months to 13 years with weight of 18 ± 12kg. There were 3 choledochal cyst, 3 anorectal anomaly, 1 hydronephrosis, 1 pulmonary sequestration, 1 mediastinal tumor and 1 pectus excavatum. Prede-posit was carried out 1-3 times 1-2 weeks prior to the operation. We used blood storage bag specially designed for children. The mean volume collected per patient was 11.3±5.1ml/kg. Eight patients received iron supplement during the period from immediately after the blood withdrawal to the operation. The percentage of the actual predeposit in prearranged blood was 81±26% (32-100%). The intraoperative bleeding exceeded the predeposit in 3 cases but none of them needed homologous blood transfusion. There was no bacterial contamination, coagulation, hemolysis of predeposit autologous blood. PABT would be applicable to infants and children provided that volume of predeposit is accurately predicted in each operation.
